Crinetics is a pharmaceutical company based in San Diego, California, developing much-needed therapies for people with endocrine diseases and endocrine-related tumors. We were founded by a dedicated team of scientists with the simple belief that better therapies developed from rigorous innovation can lead to better lives. Our work continues to make a real difference in the lives of patients. We have a prolific discovery engine and a robust preclinical and clinical development pipeline. We are driven by science with a patient-centric and team-oriented culture. Crinetics is known for its inclusive workplace culture. We are also a dog-friendly workplace. This is an exciting time to join Crinetics as we shape our organization into the world’s premier fully integrated endocrine company from discovery to patients. Join our team as we transform the lives of others.

Position Summary:

The Reimbursement IDN Manager serves as the single-threaded enterprise account owner for Kaiser Permanente, Crinetics’ most critical integrated delivery network (IDN), while supporting a select group of additional national and regional IDNs. This role leads enterprise-level strategy and execution, ensuring formulary access translates into real-world adoption, pathway integration, and sustained patient access. The role partners cross-functionally to deliver measurable commercial and patient outcomes.

Essential Job Functions and Responsibilities:

These may include but are not limited to:

• Lead enterprise-wide strategy, planning, and execution across Kaiser Permanente regions and decision-making bodies.
• Own formulary access, P&T committee engagement, coverage policy, and utilization management workflows.
• Drive pathway, protocol, and EMR/EHR integration following access decisions to ensure durable system adoption.
• Build trusted relationships with executive-level stakeholders, including health system leadership, pharmacy, medical, and operations teams.
• Assess downstream operational and commercial impact of access decisions and proactively addresses barriers to adoption.
• Develop and executes access strategies across integrated payer-provider systems, payer-owned IDNs, MCOs, and PBMs.
• Partner closely with Market Access leadership and National Account counterparts on contracting strategy, financial analysis, and access positioning.
• Translate payer and system insights into actionable field, medical, and marketing plans.
• Support additional national and regional IDNs based on business needs and strategy.
• Prioritize secondary accounts based on access risk, enterprise opportunity, and launch phase.
• Ensure consistency in enterprise planning, messaging, and execution across systems.
• Serve as the enterprise quarterback, aligning Sales, Market Access, Medical Affairs, Marketing, Field Access Managers, HUB services, and Commercial Operations.
• Lead effectively in a matrix environment, influencing with and without direct authority to deliver aligned execution.
• Share insights, trends, and competitive intelligence to inform leadership decisions and enterprise strategy.
• Establish enterprise account objectives, access milestones, and revenue targets.
• Monitor performance, identifies risks and opportunities, and adjusts strategy as needed.
• Ensure full compliance with all applicable laws, regulations, and company policies.
• Collaborate with Commercial Operations to ensure optimal data capture for analytics and operational execution
• Perform other duties as assigned.

Education and Experience:

Required:

• Bachelor’s degree in Business, Science, or a related field.
• Eight (8) or more years of rare disease pharmaceutical sales experience or five (6) or more years of IDN / key account experience.
• Deep understanding of U.S. healthcare systems, reimbursement, formulary access, and pharmacy operations.
• Direct experience working with Kaiser Permanente or similar integrated delivery networks.
• Experience across Sales, Marketing, Commercial Operations, Market Access, and Medical Affairs.
• Rare disease expertise.
• Proven ability to drive growth, lead without authority, and manage multiple priorities in a biopharmaceutical environment.
• Valid U.S. driver’s license.

Physical Demands and Work Environment:

Physical Activities: On a continuous basis, sit at desk for a long period of time; intermittently answer telephone and write or use a keyboard to communicate through written means. Some walking and lifting up to 25 lbs. may be required. The noise level in the work environment is typically low to moderate. The physical demands described above are representative of those that must be met by an employee to successfully perform the essential functions and responsibilities of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions and responsibilities.

Travel:

You may be required to travel for up to 60% of your time.

Equal Opportunity Employer:

Crinetics is proud to be an Equal Opportunity Employer. We provide equal employment opportunities to all employees and employment applicants without regard to unlawful considerations of sex, sexual orientation, gender (including gender identity and/or expression), pregnancy, race, color, creed, national or ethnic origin, citizenship status, religion or similar philosophical beliefs, disability, marital and civil union status, age, genetic information, veteran status or any personal attribute or characteristic that is protected by applicable local, state or federal laws.

Salary Range

In addition to your base pay, our total rewards program consists of a discretionary annual target bonus, stock options, ESPP, and 401k match. We also provide top-notch health insurance plans for employees (and their families) to include medical, dental, vision and basic life insurance, 20 days of PTO, 10 paid holidays, and a winter company shutdown.